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{{Use dmy dates|date=June 2018}}
{{Use Indian English|date=June 2018}}
{{Infobox non-profit
| name = Pallium India
| image = Palliumindialogo.jpg
| image_size = 250px
| type = Non-governmental charitable trust
| founded_date = 2003
| founder = Dr.[[M. R. Rajagopal]]
| location = [[Trivandrum, India]]
| origins =
| key_people =
| area_served = [[India]]
| product =
| mission =
| focus =
| method =
| revenue =
| endowment =
| num_volunteers =
| num_employees =
| num_members =
| subsid =
| owner =
| motto = Freedom from pain; life with dignity.
| homepage = {{url|palliumindia.org}}
| dissolved =
| footnotes =
}}


'''Pallium India''' is a national registered charitable trust formed in 2003 aimed at providing quality [[palliative care]] and effective pain relief for patients in India. Dr. [[M. R. Rajagopal]]<ref>{{cite web
| url = http://www.ipcrc.net/news/m-r-rajagopal-india-leader/
| title = M.R.Rajagopal Bio| publisher = International Palliative Care Resource Center | accessdate = 14 June 2014
}}
</ref><ref>{{cite web
| url = http://hospicecare.com/bio/mr-rajagopal/
| title = M. R. Rajagopal | publisher = International Association for Hospice and Palliative Care | accessdate = 14 June 2014
}}
</ref> is the founder and chairman of Pallium India. Pallium India works in collaboration with several national and international organisations to improve the accessibility and affordability of pain relief drugs (opioids) and other low-cost medicines, to ensure the availability of palliative care services in India and to improve the quality of palliative care services provided by the healthcare and allied health care professionals. In February 2016, Pallium India was accredited by Social Justice Department of Government of Kerala.

== Activities ==

Pallium India's vision is an India in which palliative care is integrated in all health care so that every person has access to effective pain relief and quality palliative care along with disease–specific treatment and across the continuum of care.<ref>{{cite web
| url = https://www.hrw.org/news/2009/10/28/india-provide-access-pain-treatment
| title = India: Provide Access to Pain Treatment | publisher = Human Rights Watch | accessdate = 14 June 2014
}}
</ref><ref>{{cite web
| url = http://www.hindu.com/2005/10/06/stories/2005100601360200.htm
| archive-url = https://web.archive.org/web/20140608155809/http://www.hindu.com/2005/10/06/stories/2005100601360200.htm
| archive-date = 8 June 2014
| title = Of pain and palliative care | accessdate = 14 June 2014
| work = [[The Hindu]]
| date = 2005-10-06
| url-status= live}}
</ref><ref>{{cite web
| url = http://www.geripal.org/2011/05/dying-in-india-palliative-care-provides.html
| title = Dying in India: Palliative Care provides hope | publisher = GeriPal.org | accessdate = 14 June 2014
}}
</ref> Pallium India's mission is to catalyze the development of effective pain relief and quality palliative care services and their integration in health care across India through delivery of services, education, building capacities, policy, research, advocacy and information.

The activities spearheaded by Pallium India concentrate mostly on areas inadequately addressed by existing organizations. Pallium India works with Central and State Governments of India for integrating palliative care into the healthcare system,<ref>{{cite web
| url = http://www.refworld.org/docid/52a5c6144.html
| title = India: Improve Access to Strong Pain Medicines | publisher = Human Rights Watch | accessdate = 14 June 2014
}}</ref> facilitating palliative care education and improving access to essential and affordable medicines like morphine and other opioids.

In 2017, Pallium India opened a library dedicated to palliative care. Books were donated by [[Elisabeth Kübler-Ross]] Foundation and Dr Odette Spruyt of [[Peter MacCallum Cancer Centre]].<ref>{{cite web
| url = http://timesofindia.indiatimes.com/city/thiruvananthapuram/library-dedicated-to-books-on-palliative-care-opened/articleshow/58115897.cms
| title = Library dedicated to books on palliative care opened | publisher = Times of India | accessdate = 13 April 2017
}}</ref><ref>{{cite web
| url = http://www.thehindu.com/todays-paper/tp-national/tp-kerala/library-dedicated-to-palliative-care/article17896427.ece
| title = Library dedicated to palliative care | work = The Hindu | accessdate = 13 April 2017
}}</ref>

Pallium India collaborates with the following organizations in the field of palliative care:
* International Association for Hospice & Palliative Care (IAHPC)
* [[International Association for the Study of Pain]] (IASP)
* Asia Pacific Hospice Network (APHN)
* [[American Cancer Society]]
* [[Human Rights Watch]]
* United States Cancer Pain Relief Committee
* [[Lance Armstrong Foundation]]
* Savitri Waney Trust
* Wilfrid Bruce Davis Trust
* Farida & Yusuf Hameed Foundation
* Indo-American Cancer Association
* Australasia Palliative Link International (APLI)
* Cairdeas International
* [[Indian Association of Palliative Care]] (IAPC)
* Pain and Palliative Care Society, Calicut, Kerala, India
* CanKids...KidsCan, New Delhi, India
* Child Family Health International(CFHI)
* Alpha Charitable Trust, Edamuttam

Pallium India runs home visit programs in and around Trivandrum, as well as inpatient and outpatient clinics in collaboration with different hospitals in Trivandrum.<ref>{{cite web
| url = http://opinionator.blogs.nytimes.com/2016/01/12/in-india-travelling-dispensers-of-balm-at-deaths-door/
| title = In India, Dispensers of Balm Travel to Death's Door | work = The New York Times | accessdate = 19 March 2016
}}
</ref> Other services include bereavement support groups, Vocational Rehabilitation Program for patients and families and education of children whose parents are under treatment by Pallium India.<ref>{{cite web
| url = http://www.newindianexpress.com/cities/thiruvananthapuram/article558978.ece
| title = State government promises land to Pallium India | publisher = The New Indian Express | accessdate = 14 June 2014
}}
</ref> Services to poor patients are provided free of cost. Expenses in this regard are met by donations.

Trivandrum Institute of Palliative Sciences (TIPS) is an organ of Pallium India, established in 2006. In 2012, TIPS was declared a World Health Organization Collaborating Centre (WHOCC) for Training and Policy on Access to Pain Relief.<ref>{{cite web
| url = http://www.thehindu.com/news/cities/Thiruvananthapuram/pallium-india-alleviating-pain-with-tips/article3601154.ece
| title = Pallium India alleviating pain with TIPS | work = The Hindu | accessdate = 14 June 2014
}}
</ref><ref>{{cite web
| url = http://timesofindia.indiatimes.com/city/thiruvananthapuram/WHO-recognition-for-Pallium-India/articleshow/14624873.cms
| title = WHO recognition for Pallium India | work = The Times of India | accessdate = 14 June 2014
}}
</ref> Education and research are major activities of TIPS. TIPS provides medical care (inpatient, out-patient and home care services), counselling care, rehabilitation and other supportive services.

Bruce Davis Training Centre (BDTC), the training division of Pallium India, runs a number of different awareness programs and trainings throughout the year with a focus on improving the general awareness among the public and improving the expertise and competency of healthcare and allied healthcare professionals. These include Certificate Course in Pain and Palliative Medicine (CCPPM) for doctors, in Palliative Nursing (CCPN) for nurses and in Palliative Care (CCPC) for allied healthcare professionals. There are also volunteer training programs conducted frequently.

Pallium India works with several hospitals and organizations to catalyse the development of palliative care centres across India and for introducing palliative care education to professionals.<ref>{{cite web
| url = http://www.iasp-pain.org/Advocacy/Content.aspx?ItemNumber=2046&navItemNumber=890
| title = Morphine Manifesto | publisher = International Association for the Study of Pain | accessdate = 14 June 2014
}}</ref><ref>{{cite web
| url = http://www.theshillongtimes.com/2014/03/28/palliative-care-the-missing-chapter-in-internal-medicine/
| title = Palliative care- the missing chapter in Internal Medicine | publisher = The Shillong Times | accessdate = 14 June 2014
}}</ref><ref>{{cite web
| url = http://archives.deccanchronicle.com/131012/news-current-affairs/article/big-strides-palliative-care
| title = Big Strides in Palliative Care | publisher = Deccan Chronicle | accessdate = 14 June 2014
}}
</ref><ref>{{cite web
| url = http://www.treatthepain.org/blog%20obrien%20India.html
| title = Launch of the Pain-Free Hospital Initiative in three cancer centers in India with Pallium India | publisher = Treat the Pain | accessdate = 14 June 2014
}}
</ref>

Pallium India collaborates with the Department of Social Justice of Government of Kerala to improve the facilities for wheelchair-bound people in the state. This includes providing rehabilitation services and advocacy for their improved mobility, including creating pavements and buildings that are wheelchair-friendly.<ref>{{cite web
| url = http://www.newindianexpress.com/cities/thiruvananthapuram/Big-Strides-Needed-for-Safer-Steps/2015/07/27/article2942020.ece
| title = Big Strides Needed for Safer Steps | publisher = The New Indian Express | accessdate = 23 September 2015
}}
</ref> Pallium India regularly organizes awareness programs for the public, get-together for patients, art and craft exhibition, food festival and cultural events to spread the message of palliative care.<ref>{{cite web
| url = http://timesofindia.indiatimes.com/city/thiruvananthapuram/Food-fest-for-a-noble-cause-evokes-warm-response/articleshow/51467287.cms
| title = Food fest for a noble cause evokes warm response | work = The Times of India | accessdate = 19 March 2016
}}
</ref><ref>{{cite web
| url = http://www.thehindu.com/news/cities/Thiruvananthapuram/standing-up-being-counted/article7957265.ece
| title = Standing up, being counted | work = The Hindu | accessdate = 19 March 2016
}}
</ref><ref>{{cite web
| url = http://www.thehindu.com/news/cities/Thiruvananthapuram/art-exhibition-for-a-cause/article8196787.ece
| title = Art exhibition for a cause | work = The Hindu | accessdate = 19 March 2016
}}
</ref>

Pallium India works with Paediatric and Paediatric Neurology departments of S.A.T Hospital, Thiruvananthapuram to provide palliative care for children suffering from various illnesses.<ref>{{cite web
| url = http://www.thebetterindia.com/32087/palliative-care-for-children-in-india/ | title = With Puppets & Bubble Guns – That's How One Organization Treats Children in Need of Palliative Care | publisher = The Better India | accessdate = 19 March 2016
}}
</ref> Pallium India works out of its office at [[Thiruvananthapuram]], [[Kerala]], [[India]].

Currently, Pallium India is advocating for a rational national legislation for end of life care, which allows natural death with dignity and in incurable diseases with access to palliative care, rather than intensive care.<ref>{{cite web
| url = http://english.manoramaonline.com/news/columns/straight-talk/euthanasia-mercy-killing-legislation-ventilator-support.html | title = Why wouldn't the government let me die in peace | publisher = Manorama Online | accessdate = 25 August 2016
}}
</ref><ref>{{cite web
| url = http://blogs.timesofindia.indiatimes.com/toi-edit-page/dont-torture-the-dying-health-ministrys-draft-law-confuses-between-euthanasia-and-withdrawal-of-life-support/ | title = Don't Torture The Dying: Health ministry's draft law confuses between euthanasia and withdrawal of life support | publisher = Times of India | accessdate = 25 August 2016
}}
</ref>

== Achievements ==

Pallium India played a major role in the steps leading to the declaration of a National Program on Palliative care by the Government of India in 2012 November<ref>{{cite web
| url = http://www.ehospice.com/Default/tabid/10686/ArticleId/2997 | title = Pallium India hosted a two day national workshop in Trivandrum | publisher = eHospice | accessdate = 14 June 2014
}}
</ref> and the Amendment of Narcotic Drugs and Psychotropic Substances(NDPS) Act of India in 2014.<ref>{{cite web
| url = https://www.nytimes.com/2007/09/11/health/11pain.html?pagewanted=all&_r=1& | title = In India, a Quest to Ease the Pain of the Dying | work = The New York Times | accessdate = 14 June 2014
}}
</ref><ref>{{cite web
| url = http://articles.economictimes.indiatimes.com/2014-02-24/news/47635745_1_morphine-ngo-cankids-cancer-patients | title = MR Rajagopal: The man who spearheaded efforts to improve access to morphine | publisher = The Economic Times | accessdate = 14 June 2014
}}
</ref><ref>{{cite web
| url = http://www.thehindu.com/todays-paper/tp-national/passing-of-ndps-act-amendment-bill-will-make-morphine-more-accessible/article5718188.ece | title = Passing of NDPS Act Amendment Bill will make morphine more accessible | work = The Hindu | accessdate = 14 June 2014
}}
</ref> In 2008, Pallium India initiated and followed up a proposal that resulted in the declaration of a "Palliative Care Policy" by the Government of Kerala, making it the first Government in a developing country to have such a policy.<ref>{{Cite web|last=|first=|date=|title=Arogyakeralam Palliative Care Project Ensuring care and support|url=http://niti.gov.in/writereaddata/files/bestpractices/Arogyakeralam%20Palliative%20Care%20Project%20Ensuring%20care%20and%20support%20for%20the%20chronically%20ill%20&%20infirm%20in%20Kerala.pdf|access-date=|website=}}</ref>

In 2016, Pallium India was awarded the Cancer Aid Society Annual Award for Excellence and Leadership in Palliative Care for the South Asian Association for Regional Cooperation (SAARC) Countries.<ref>{{cite web
| url = http://www.ehospice.com/Default/tabid/10686/ArticleId/18508 | title = Pallium India receives award for excellence and leadership in palliative care | publisher = eHospice | accessdate = 25 August 2016
}}
</ref> In November 2017, Pallium India was awarded Sat Paul Mittal Award of appreciation, in Ludhiana.<ref>{{cite web
| url = http://www.cityairnews.com/content/sat-paul-mittal-national-award-year-2017 | title = Sat Paul Mittal National Award for the year 2017 | publisher = City Air News | accessdate = 6 Dec 2017
}}
</ref>

A group of palliative care experts under the leadership of Dr M R Rajagopal, collaborated to prepare the draft curriculum for M.D. Palliative Medicine, on behalf of [[Medical Council of India]].<ref>{{cite web
| url = http://www.ehospice.com/Default/tabid/10686/ArticleId/5488 | title = Palliative care education in India | publisher = eHospice | accessdate = 14 June 2014
}}
</ref> A curriculum that introduces palliative care to undergraduate medical and nursing education has been submitted to the Medical Council of India.

Pallium India has catalyzed the development of training centres offering quality education in palliative care in Trivandrum (TIPS), Hyderabad (MNJIO RCC), Jaipur ([[Bhagwan Mahaveer Cancer Hospital and Research Centre]]) and Ahmedabad (GCRI).

With financial support from international agencies, ten palliative care service centres were established in different states of India - Jharkhand, Tripura, Uttar Pradesh, Manipur, Mizoram, Bihar, Orissa, Gujarat, Meghalaya, Tamil Nadu and Lakshadweep. In collaboration with [http://apli.net.au/ Australasian Palliative Link International (APLI)], Pallium India developed a mentoring program called Project Hamrahi for budding palliative care organizations in India<ref>{{cite web
| url = http://apli.net.au/projects/project-hamrahi-fellow-travellers/ | title = Project Hamrahi "Fellow Travellers" | publisher = Australasian Palliative Link International | accessdate = 14 June 2014
}}</ref><ref>{{cite web
| url = http://www.ehospice.com/australia/ArticleView/tabid/10688/ArticleId/9934/language/en-GB/View.aspx | title = A meeting of mind and hearts: Lakshadweep Hamrahi 2013 | publisher = eHospice | accessdate = 14 June 2014
}}
</ref><ref>{{cite journal
| title = Team Networking in Palliative Care | journal = Indian Journal of Palliative Care | pmc=3140085 | pmid=21811361 | doi=10.4103/0973-1075.76234 | volume=17 | pages=S17-9 | last1 = Spruyt | first1 = O| year = 2011 | issue = 4 }}
</ref>

Working with national and international experts, Pallium India created the National Standards tool (Minimum Standards for Palliative Care Programs) to ensure quality palliative care.<ref>{{cite journal
| url = http://www.jpalliativecare.com/article.asp?issn=0973-1075;year=2014;volume=20;issue=3;spage=201;epage=207;aulast=Rajagopal | title = Creation of minimum standard tool for palliative care in India and self-evaluation of palliative care programs using it | journal = Indian Journal of Palliative Care | accessdate = 19 March 2016
}}
</ref>

An advocacy tool initiated by Pallium India with two international partners, called 'the Morphine Manifesto', caught the attention of the international palliative care community so much that 63 international organizations signed up to be launch partners.<ref>{{cite web
| url = http://ibnlive.in.com/news/morphine-manifesto-released/227112-60-123.html | archive-url = https://web.archive.org/web/20140615145215/http://ibnlive.in.com/news/morphine-manifesto-released/227112-60-123.html | url-status = dead | archive-date = 15 June 2014 | title = Morphine Manifesto Released | publisher = IBNLive | accessdate = 14 June 2014
}}</ref><ref>{{cite journal
| title = A morphine manifesto | pmid=22764853 | doi=10.3109/15360288.2012.678475 | volume=26 | journal=J Pain Palliat Care Pharmacother |year = 2012| pages=144–5|last1 = Pallium India|first1 = International Associ|author2 = Pain Policy Studies Group|issue = 2}}</ref><ref>{{cite web
| url = http://painpolicy.wordpress.com/2012/02/04/the-morphine-manifesto/ | title = The Morphine Manifesto | publisher = PainPolicy | accessdate = 14 June 2014
}}</ref><ref>{{cite web | url = http://www.thewpca.org/latest-news/morphine-manifesto/ | title = Morphine Manifesto | publisher = Worldwide Palliative Care Alliance | accessdate = 14 June 2014 | url-status = dead | archive-url = https://archive.today/20140615152004/http://www.thewpca.org/latest-news/morphine-manifesto/ | archive-date = 15 June 2014 }}</ref>

== References ==

{{reflist|colwidth=30em}}

== External links ==
* [http://palliumindia.org Official website]

[[Category:Hospices in India]]
[[Category:Organisations based in Thiruvananthapuram]]
[[Category:2003 establishments in Kerala]]
[[Category:Organizations established in 2003]]

Pallium India - Revision history

imported>GreenC bot: Rescued 1 archive link. Wayback Medic 2.5